| NPI | 1205537164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 128676) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 228596) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |